A new twist on an old problem: a case of pediatric meningitis caused by multidrug-resistant Streptococcus pneumoniae serotype 19A

W Ciccotelli; S Poutanen; S Morris; M Alqahtani; P Cox; D Low; D Pillai; M Opavsky

A new twist on an old problem: a case of pediatric meningitis caused by multidrug-resistant Streptococcus pneumoniae serotype 19A

Can Commun Dis Rep. 2008 Nov;34(11):1-6.

[Article in English, French]

Authors

W Ciccotelli¹, S Poutanen, S Morris, M Alqahtani, P Cox, D Low, D Pillai, M Opavsky

Affiliation

¹ Department of Infectious Diseases and Medical Microbiology, McMaster University, Hamilton, Ontario, Canada.

PMID: 19051388

Abstract

Recent studies show that multidrug-resistant Streptococcus pneumoniae serotype 19A continues to emerge as a cause of invasive pneumococcal disease after the introduction of Prevnar. We report a case of multidrug-resistant S. pneumoniae serotype 19A meningitis successfully treated with vancomycin and levofloxacin. This case reinforces the need for the empiric use of vancomycin in meningitis and the need for alternative treatments.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / therapeutic use
Cefuroxime / therapeutic use
Drug Resistance, Multiple, Bacterial
Drug Therapy, Combination
Humans
Infant
Levofloxacin
Meningitis, Pneumococcal / diagnosis
Meningitis, Pneumococcal / drug therapy*
Microbial Sensitivity Tests
Ofloxacin / therapeutic use
Streptococcus pneumoniae
Vancomycin / therapeutic use

Substances

Anti-Bacterial Agents
Levofloxacin
Vancomycin
Ofloxacin
Cefuroxime